Richard H Fortinsky
Biographic Data
| ID | 4193070 |
|---|---|
| NAME | Richard H Fortinsky |
| GIVEN NAMES | Richard H |
| FAMILY NAME | Fortinsky |
| SIGNATURE | FORTINSKY R H |
| AFFILIATIONS | UConn Health |
| ORCID | 0000-0002-2013-719X |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 39 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1981 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Impact of a Multi-Component Home-Based Physical Therapy Intervention on Cognitive Outcomes: Results From the CAP Randomized Controlled Trial
Objective Differences in cognitive outcomes for two home-based 16-week interventions after usual rehabilitative care post-hip fracture were examined. Methods Community Ambulation Project randomized controlled trial included 210 hip fracture participants. Interventions: Specific multi-component (PUSH) included strength-, balance-, function-, and endurance-based exercises; non-specific active control (PULSE) included seated range-of-motion exercise…
Psychometric Properties of the Resilience Scale in Older Adults Post-Hip Fracture
Objectives: The purpose of this study was to evaluate the psychometric properties of the modified 25-item Resilience Scale (RS-25) in older adults post-hip fracture using Rasch analysis. Methods: This was a descriptive study using baseline data from the Seventh Baltimore Hip Studies (BHS-7). There were 339 hip fracture patients included in this analysis. Results: Findings suggest there was support for reliability of the measure based on person an…
Can Continuity of Care Reduce Hospitalization Among Community-dwelling Older Adult Veterans Living With Dementia
BACKGROUND: Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE: To estimate the causal impact of COC on hospitalizations and different reasons for hospitalization among community-dwelling older veterans with dementia. RESEARCH DESIGN: Population-based observationa…
The Relationship Between Emotional Support and Health-Related Self-Efficacy in Older Prisoners
Objective: To determine whether emotional support, and proportion of emotional support provided by specific sources (e.g., family, other prisoners, clinicians), is associated with health-related self-efficacy among older prisoners. Method: Cross-sectional study of 140 older prisoners age ≥50 with chronic medical illness who completed face-to-face interviews. Logistic regression, controlling for demographic, incarceration, and clinical/behavioral …
Associations of eldercare and competing demands with health and work outcomes among manufacturing workers
Employees juggling eldercare and work report work–family conflicts and poor health-related outcomes, but little is known about eldercare demands (ECDs) in the context of competing demands in the manufacturing workforce. This study determines how ECDs vary by age, gender, income, and job category, and how ECDs and competing demands are associated with health-related and work-related outcomes, among manufacturing workers. Employees from six manufac…
Alignment between balance confidence and fall risk in later life: Has over-confidence been overlooked
Falls in later life have long been identified as an important public health problem worthy of investigation and intervention because they are preventable and are associated with excess disability and mortality. Interventions to prevent falls in older people have focused on physiological risk factors and psychological risk factors. Fear of falling is the most extensively studied and targeted psychological risk factor for falls. Less is known about…
A Broader View of Family Caregiving: Effects of Caregiving and Caregiver Conditions on Depressive Symptoms, Health, Work, and Social Isolation
Caregiving per se does not lead to symptoms of depression, poor health, or social isolation. Many caregivers do need supports in training and education, respite, and physical and mental health care. Such programs should provide outreach to caregivers facing specific stressful conditions, as not all caregivers experience negative consequences
Measuring Disability in Medicare Home Care Patients: Application of Rasch Modeling to the Outcome and Assessment Information Set
BACKGROUND: The Outcome and Assessment Information Set (OASIS) is the universal clinical assessment tool for adult nonmaternity patients receiving skilled care at home from Medicare-certified home health agencies in the United States. Anticipating increased use of OASIS data for research purposes, this article explored the usefulness of Rasch modeling to address disability measurement challenges presented by the unique response category structure…
Pressure Ulcer Prevalence in Ohio Nursing Homes: Clinical and Facility Correlates
Pressure ulcers remain a common medical problem in nursing homes, despite the development of clinical guidelines for prevention and treatment. Prevention involves low technology but vigilant care. If the disease progresses, infections can develop, and surgery may be necessary to prevent death. This article examines pressure ulcer correlates in a representative sample of 15,121 nursing home residents in 1994 in the state of Ohio. The prevalence of…
The job satisfaction of older workers
Older workers re‐entering the workforce and those changing jobs are coming to play an increasingly important role in the labor force, especially as part‐time workers. Yet the work orientation and job satisfaction of these workers has not been studied. Do ‘situational’ factors such as skill and pay matter for this subgroup of workers, and if so, which ones? If significant factors exist, can their effect be explained by the mediating influence of ‘…
The Impact of Medicaid Reimbursement Policy On Subacute Care in Hospitals
Concerns about the increasing cost of hospital care have directed policy attention to inappropriate hospital use and, in particular, to hospital patients awaiting long-term care (LTC) placement. In 1982, pursuant to changes in federal Medicare and Medicaid law, Maine implemented changes in Medicaid reimbursement policy for subacute patients designed to reduce hospital backups and corresponding Medicaid expenditures for unnecessary hospital care. …
The Use of Functional Assessment in Understanding Home Care Needs
This study explored the use of functional assessment as a means for understanding individuals' needs for long-term care in the home setting. A primary focus of the study was to test the usefulness of a modified Barthel Index as the functional assessment instrument that measured personal care need. Data were derived from 89 chronically ill and/or disabled people who were receiving home health care from the Visiting Nurse Association of metropolita…
A Broader View of Family Caregiving: Effects of Caregiving and Caregiver Conditions on Depressive Symptoms, Health, Work, and Social Isolation
Caregiving per se does not lead to symptoms of depression, poor health, or social isolation. Many caregivers do need supports in training and education, respite, and physical and mental health care. Such programs should provide outreach to caregivers facing specific stressful conditions, as not all caregivers experience negative consequences
Pressure Ulcer Prevalence in Ohio Nursing Homes: Clinical and Facility Correlates
Pressure ulcers remain a common medical problem in nursing homes, despite the development of clinical guidelines for prevention and treatment. Prevention involves low technology but vigilant care. If the disease progresses, infections can develop, and surgery may be necessary to prevent death. This article examines pressure ulcer correlates in a representative sample of 15,121 nursing home residents in 1994 in the state of Ohio. The prevalence of…
The job satisfaction of older workers
Older workers re‐entering the workforce and those changing jobs are coming to play an increasingly important role in the labor force, especially as part‐time workers. Yet the work orientation and job satisfaction of these workers has not been studied. Do ‘situational’ factors such as skill and pay matter for this subgroup of workers, and if so, which ones? If significant factors exist, can their effect be explained by the mediating influence of ‘…
Associations of eldercare and competing demands with health and work outcomes among manufacturing workers
Employees juggling eldercare and work report work–family conflicts and poor health-related outcomes, but little is known about eldercare demands (ECDs) in the context of competing demands in the manufacturing workforce. This study determines how ECDs vary by age, gender, income, and job category, and how ECDs and competing demands are associated with health-related and work-related outcomes, among manufacturing workers. Employees from six manufac…
The Use of Functional Assessment in Understanding Home Care Needs
This study explored the use of functional assessment as a means for understanding individuals' needs for long-term care in the home setting. A primary focus of the study was to test the usefulness of a modified Barthel Index as the functional assessment instrument that measured personal care need. Data were derived from 89 chronically ill and/or disabled people who were receiving home health care from the Visiting Nurse Association of metropolita…
The Impact of Medicaid Reimbursement Policy On Subacute Care in Hospitals
Concerns about the increasing cost of hospital care have directed policy attention to inappropriate hospital use and, in particular, to hospital patients awaiting long-term care (LTC) placement. In 1982, pursuant to changes in federal Medicare and Medicaid law, Maine implemented changes in Medicaid reimbursement policy for subacute patients designed to reduce hospital backups and corresponding Medicaid expenditures for unnecessary hospital care. …
The job satisfaction of older workers
Older workers re‐entering the workforce and those changing jobs are coming to play an increasingly important role in the labor force, especially as part‐time workers. Yet the work orientation and job satisfaction of these workers has not been studied. Do ‘situational’ factors such as skill and pay matter for this subgroup of workers, and if so, which ones? If significant factors exist, can their effect be explained by the mediating influence of ‘…
Pressure Ulcer Prevalence in Ohio Nursing Homes: Clinical and Facility Correlates
Pressure ulcers remain a common medical problem in nursing homes, despite the development of clinical guidelines for prevention and treatment. Prevention involves low technology but vigilant care. If the disease progresses, infections can develop, and surgery may be necessary to prevent death. This article examines pressure ulcer correlates in a representative sample of 15,121 nursing home residents in 1994 in the state of Ohio. The prevalence of…
Measuring Disability in Medicare Home Care Patients: Application of Rasch Modeling to the Outcome and Assessment Information Set
BACKGROUND: The Outcome and Assessment Information Set (OASIS) is the universal clinical assessment tool for adult nonmaternity patients receiving skilled care at home from Medicare-certified home health agencies in the United States. Anticipating increased use of OASIS data for research purposes, this article explored the usefulness of Rasch modeling to address disability measurement challenges presented by the unique response category structure…
Alignment between balance confidence and fall risk in later life: Has over-confidence been overlooked
Falls in later life have long been identified as an important public health problem worthy of investigation and intervention because they are preventable and are associated with excess disability and mortality. Interventions to prevent falls in older people have focused on physiological risk factors and psychological risk factors. Fear of falling is the most extensively studied and targeted psychological risk factor for falls. Less is known about…
A Broader View of Family Caregiving: Effects of Caregiving and Caregiver Conditions on Depressive Symptoms, Health, Work, and Social Isolation
Caregiving per se does not lead to symptoms of depression, poor health, or social isolation. Many caregivers do need supports in training and education, respite, and physical and mental health care. Such programs should provide outreach to caregivers facing specific stressful conditions, as not all caregivers experience negative consequences
Associations of eldercare and competing demands with health and work outcomes among manufacturing workers
Employees juggling eldercare and work report work–family conflicts and poor health-related outcomes, but little is known about eldercare demands (ECDs) in the context of competing demands in the manufacturing workforce. This study determines how ECDs vary by age, gender, income, and job category, and how ECDs and competing demands are associated with health-related and work-related outcomes, among manufacturing workers. Employees from six manufac…
The Relationship Between Emotional Support and Health-Related Self-Efficacy in Older Prisoners
Objective: To determine whether emotional support, and proportion of emotional support provided by specific sources (e.g., family, other prisoners, clinicians), is associated with health-related self-efficacy among older prisoners. Method: Cross-sectional study of 140 older prisoners age ≥50 with chronic medical illness who completed face-to-face interviews. Logistic regression, controlling for demographic, incarceration, and clinical/behavioral …
Can Continuity of Care Reduce Hospitalization Among Community-dwelling Older Adult Veterans Living With Dementia
BACKGROUND: Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE: To estimate the causal impact of COC on hospitalizations and different reasons for hospitalization among community-dwelling older veterans with dementia. RESEARCH DESIGN: Population-based observationa…
Psychometric Properties of the Resilience Scale in Older Adults Post-Hip Fracture
Objectives: The purpose of this study was to evaluate the psychometric properties of the modified 25-item Resilience Scale (RS-25) in older adults post-hip fracture using Rasch analysis. Methods: This was a descriptive study using baseline data from the Seventh Baltimore Hip Studies (BHS-7). There were 339 hip fracture patients included in this analysis. Results: Findings suggest there was support for reliability of the measure based on person an…
Impact of a Multi-Component Home-Based Physical Therapy Intervention on Cognitive Outcomes: Results From the CAP Randomized Controlled Trial
Objective Differences in cognitive outcomes for two home-based 16-week interventions after usual rehabilitative care post-hip fracture were examined. Methods Community Ambulation Project randomized controlled trial included 210 hip fracture participants. Interventions: Specific multi-component (PUSH) included strength-, balance-, function-, and endurance-based exercises; non-specific active control (PULSE) included seated range-of-motion exercise…
Medicine (11 works) · Psychology (8 works) · Gerontology (6 works) · Psychiatry (6 works) · Health care (5 works) · Environmental health (4 works) · Nursing (4 works) · Physical therapy (4 works) · Clinical Psychology (3 works) · Geriatric Care and Nursing Homes (3 works)